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Bernstein Medical - Center for Hair Restoration
Bernstein Medical In The News

Hims and Keeps: Hair Loss Solutions Explained

Hims Logo

On our Facebook and Instagram feeds, billboards, on the side of buses, and lining the walls of the subway, are ads of young, attractive men with voluptuous locks and titles saying things like “Hair loss is optional” and “Handsome, healthy you.” These are the ads for the millennial men’s wellness brand, Hims. Hims, and fellow start-up Keeps, offer hair loss solutions (that would normally be prescribed in-person, by a doctor) in one simple package to your home.

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Bernstein Medical In The News

The Beauty Doc Podcast: Hair Loss Talk Featuring Dr. Robert M. Bernstein

Dr. Robert M. Bernstein

Dr. Bernstein was recently a guest on “The Beauty Doc” podcast with a master of oculoplastic & facial plastic surgery, Dr. Joel E. Kopelman. Here, they discussed causes of hair loss in both men and women, the difference between hair falling out and balding, both the mental and physical effects of hair loss, when to come in for a consult and medical and surgical treatments for hair loss.

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Hair Restoration Answers

Do You See An Impact Of Your Involvement With Restoration Robotics In The Development Of ARTAS?

Q: As a medical advisor and an end-user of the ARTAS Robotic System, do you see any impact of your involvement with Restoration Robotics? — J.V. ~ Miami, F.L.

A: Restoration Robotics has been very responsive to the needs of its physicians and to their patients. Because I work closely with Restoration Robotics in the development of new improvement and advances they are often introduced first in our practice.

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Bernstein Medical In The News

Bernstein Medical is Accredited for Commitment to High Quality of Patient Care

Accreditation Association for Ambulatory Health Care (AAAHC)Bernstein Medical – Center for Hair Restoration is pleased to announce that we have, once again, been certified by the Accreditation Association for Ambulatory Health Care (AAAHC). The three-year accreditation is granted to medical centers that demonstrate high standards in delivering patient care, expert record keeping, the most rigorous safety protocols, as well as a commitment to developing new ways to provide optimum service to our patients.

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Bernstein Medical In The News

FUE Hair Transplant Most Likely Responsible for LeBron James’ New Hairline

Follicular Unit Extraction Most Likely Responsible for LeBron James’ New Hair Line

After years of jokes about his continually receding hair line, LeBron James, winner of two NBA championships and four NBA Most Valuable Player Awards, stunned the sports world on September 16th, 2014 when he revealed a newly restored hairline while promoting his new LeBron 12 shoe at Nike World Headquarters.

Folks are now asking – what the heck happened all of a sudden? Where, when and how did LeBron get that great new hair line?

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Bernstein Medical In The News

Bernstein Medical Named Best Small and Medium Sized Company to Work For in New York State

Innovative Bernstein Medical Awarded As Best New York Small Business To Work ForBernstein Medical – Center for Hair Restoration is receiving recognition for leadership in appreciating the value of its workers. The New York State Society for Human Resource Management (NYS-SHRM) has named Bernstein Medical the number one small or medium-sized business to work for in the state. The 2013 ‘Best Companies to Work For in New York’ list placed Bernstein Medical at the top slot, out-ranking companies from New York City as well as Rochester, Syracuse, and elsewhere in the state.

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Bernstein Medical In The News

Press Release: Hair Transplant Pioneer Studies Hair Cloning, Hair Restoration Procedures Using ACell’s Extracellular Matrix

Hair Cloning with ACell MatriStemRobert M. Bernstein, M.D., F.A.A.D., the renowned hair transplant surgeon and founder of Bernstein Medical – Center for Hair Restoration in New York, is studying four different applications of ACell MatriStem™ extracellular matrix in a type of hair cloning, called hair multiplication, as well as current hair restoration procedures. Click the link to read the whole press release.

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Bernstein Medical In The News

ABC News Report On Hair Loss Features Dr. Bernstein, Consumer Reports Hair Loss Survey

WABC-TV Eyewitness News; channel 7 in New York, NY; featured Dr. Bernstein in a special report on hair loss and hair loss medications. In particular, the report, by ABC correspondent Kemberly Richardson, asked Dr. Bernstein about the effectiveness of Propecia/Finasteride and Rogaine/Minoxidil in the treatment of male pattern hair loss. Watch the report.

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Bernstein Medical In The News

Celebrity Hair Transplant Procedures An Increasingly Hot Topic

Celebrity Hair Transplants - Kevin Costner

Celebrity hair loss is becoming an increasingly hot topic in the media. The continuing demands on celebrities to keep their good looks, seems to be of great interest to the tabloids. This is evidenced by the recent interest in the hairlines of stars like John Cleese, Mel Gibson, John Travolta, Kevin Costner, Dennis Miller, Tom Arnold, Johnny Depp, Jude Law, David Beckham, Matt Lauer, Tiger Woods, Tom Brady, and many others.

Interest in celebrity hair transplants is not just reserved for film and TV stars, but for all kinds of professions in the public eye. Read on for the full article about celebrity hair transplant procedures.

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Hair Restoration Answers

Which is Better Hair Loss Treatment: Minoxidil With Retin-A or Without Retin-A?

Q: Is using Minoxidil combined with Retin-A better than regular Minoxidil for Hair Loss? — L.W., Gowanus, New York

A: Minoxidil has been prescribed (off-label) in combination with other medications, such as topical retinoic acid (Retin-A), to enhance its penetration into the skin and thus increase its effectiveness. This combination of medications can increase the absorption of minoxidil into the bloodstream and may increase the risk of potential side effects, including changes in blood pressure and scalp irritation. It is important to use combination therapy under the supervision of a physician.

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Bernstein Medical In The News

ABC News Hair Transplant Video Diary Features Dr. Bernstein’s Patient

Before Hair Transplant After Hair Transplant
Before / After Hair Restoration

What thoughts go through the head of your average hair loss sufferer before, during, and after a hair transplant?

The answer to that question may now be revealed. ABC News correspondent Cari Nierenberg and associate producer Ryan Stevenson take us directly into the mind and life of Bernstein Medical patient Adam Khoudja in a three-part video diary and feature on hair loss and hair restoration.

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Hair Restoration Answers

Hair Loss and Replacement for Dummies

Q: Why did you write another book on hair loss? — K.L., Greenville NY

A: Hair Loss and Replacement for Dummies is the first book that we have written that is specifically geared for the lay public. Besides hair restoration, it covers a wide range of topics including: the diagnosis and treatment of medical conditions that can cause hair loss, tips on hair care, information on hair systems, and a number of other topics not stressed in our other books.

Our prior books, The Patient’s Guide to Hair Restoration and The Guide to Hair Restoration focused on medical treatments and surgical hair restoration. Although very easy to understand, they are most helpful for someone that already has a basic understanding of hair loss or that had a consultation.

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Bernstein Medical In The News

Oprah, Dr. Oz Inspect Hair Transplant Patient, Interview Dr. Bernstein on Oprah Winfrey Show

The Oprah Winfrey Show features Dr. Bernstein discussing his pioneering follicular unit hair transplant procedure, focusing on the newest diagnostic and treatment techniques for hair restoration.

Dr. Mehmet Oz (health expert on The Oprah Winfrey Show) presents video footage of Dr. Bernstein performing a hair transplant and then invites the patient live onstage to be inspected by Oprah.

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Bernstein Medical In The News

Dr. Bernstein Receives Certificate of Appreciation Columbia University Medical Center

Columbia University Medical CenterColumbia University Medical Center has awarded Dr. Bernstein, Clinical Professor of Dermatology, a “Certificate of Appreciation” for sustained contributions to the academic programs of the Department of Dermatology at the renowned university.

The Department stated that they were, “deeply grateful for your continuing support of Columbia’s academic programs and of graciously giving your time and sharing your wisdom with the house staff and medical residents.”

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Hair Restoration Answers

What Does Hair Transplant Evaluation or Hair Loss Consultation Cost?

Q: Didn’t you do free consults in the past? — N.F., Bronxville, NY

A: Yes. It had been in response to the policy of the larger chains. Patients coming to our practice are evaluated by a board certified dermatologist, trained in diagnosing the causes of your hair loss with expertise in both medical and surgical management. Our consults are not just screens for surgery.

Read more information on becoming a new patient on the Bernstein Medical – Center for Hair Restoration website. If you are ready for a hair loss or hair transplant evaluation, click here to schedule an evaluation with the doctor.

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Hair Restoration Answers

Can a Woman be a Candidate for a Hair Transplant?

Q: I am female and thinning can I be a candidate for a Follicular Unit Hair Transplant?

A: If it turns out that you have female pattern hair loss, you may be a candidate a hair transplant, but would need to be evaluated by a doctor who specializes in surgical hair restoration.

In the evaluation, you should have your degree of hair loss assessed and donor supply measured, using an instrument called a densitometer, to be certain that you have enough permanent donor hair to meet your desired goals. For more information about hair loss in women, please see the Diagnosis of Hair Loss in Women page of the Bernstein Medical – Center for Hair Restoration website.

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Hair Restoration Answers

Why is Cell Differentiation the Major Obstacle for Hair Cloning?

Q: What is the major obstacle to hair cloning?

A: Although many problems remain, the main one is to keep cloned cells differentiated (the ability to perform a specialized function, like producing a hair). There are certain cells in the skin, called fibroblasts, which reside around the base of the hair follicle. These cells are readily multiplied in a Petri dish. When these cells are injected into the skin, they have the ability to induce a hair to form (they are differentiated). The problem is that when these cells are multiplied in culture, they tend to lose this ability (they become undifferentiated).

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Hair Restoration Answers

Can Stress Cause Diffuse Unpatterned Hair Loss (DUPA)?

Q: Can stress produce diffuse unpatterned hair loss (DUPA), or was it bound to happen anyway? — D.D., Park Slope, Brooklyn

A: Both DPA (diffuse patterned hair loss) and DUPA (diffuse unpatterned hair loss) are genetic conditions, unrelated to stress and would have happened anyway. These types of hair loss are characterized by a high percentage of mininiaturized hair in broad areas of the scalp. See the Classification of Hair Loss in Men and Classification of Hair Loss in Women pages on the Bernstein Medical – Center for Hair Restoration website for more information on this topic.

In contrast, stress generally presents as increased hair shedding, a reversible condition referred to as telogen effluvium. It is called this because the normal growing hair is shifted to a resting (telogen) phase before it temporarily falls out. Increased miniaturization is not associated with telogen effluvium.

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Hair Restoration Answers

Why Same Photos on Bernstein Medical Website and NewHair.com?

Q: I was looking at the hair transplant photos on the Bernstein Medical website. I noticed that you and the NHI website have some of the same pictures. Did you both perform surgeries on these people? — B.B., Columbus Circle, N.Y.

A: All of the patients that appear on the Bernstein Medical website were operated on by me personally. My own staff assisted me in these procedures.

I worked with Dr. Rassman at NHI from 1995 to 2004. Photos of patients that I operated on during this period may therefore also appear on the NHI website.

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Bernstein Medical In The News

Densitometry Makes Cover of Hair Transplant Forum International

Densitometry - Hair Transplant Forum International - March/April 1997The lead article in the March/April 1997 issue of Hair Transplant Forum International focuses on the latest tools available for assessing whether or not a person experiencing hair loss is a good candidate for hair transplant surgery.

Dr. Bernstein uses the techniques of densitometry and video-microscopy to analyze the scalp under high-powered magnification. This gives the doctors vital information for making decisions about whether patients are candidates for hair transplant surgery.

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Hair Restoration Answers

Do You Use Megasessions or Very Large Graft Sessions In Your Hair Transplant Procedures?

Q: Some surgeons are doing hair transplants using 5,000 to 6,000 grafts in a single surgery. Looking at the cases in your photo gallery, it seems like your hair transplants involve many fewer grafts per surgery. Do you do such large graft numbers in a single hair restoration procedure? — H.P., Cranston, R.I.

A: The goal in surgical hair restoration should be to achieve the best results using the least amount of donor hair (the patient’s permanent reserves) and not simply to transplant the most grafts in one session. In my opinion, although large sessions are very desirable, the recent obsession with extremely large numbers of grafts in one session is misplaced. The focus should be on results.

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Hair Restoration Answers

How Does Hair Cloning Grow Hair Follicles from Cultured Cells?

Q: Considering cell cultivation is made possible how could their injection create a normal formation of hair on the scalp and can they induce hair growth also in scarred areas where previously hair stopped growing?

A: That is the question. It is not known if these induced follicles will resemble normal hairs, and be cosmetically acceptable on their own, or if they will grow unruly and must be used as a filler behind more aesthetically pleasing transplanted hair.

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Bernstein Medical In The News

Dr. Bernstein Opens Hair Transplant Center in New York City

New Hair Transplant Center in NY - Bernstein Medical - Center for Hair RestorationBernstein Medical – Center for Hair Restoration has moved to a new, state-of-the-art facility in mid-town Manhattan. The office is centrally located in the Park 55 building at 110 East 55th Street.

The new office is specially engineered for performing our pioneering follicular unit hair transplant procedures and innovative corrective surgery with custom surgical suites for patient comfort and operational efficiency.

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Hair Restoration Answers

Do You Recommend Avolve Hair Loss Medication?

Q: My friend just came back from Paris and said that his cousin was taking Avolve for hair loss. Can you tell me what that is and is it available in the U.S.? — N.W., Portland, Oregon

A: Avolve is the European trade name for dutasteride 0.5mg made by GlaxoSmithKline for prostate enlargement. In the U.S. dutasteride 0.5mg, under the brand name Avodart, is FDA approved to treat prostate enlargement (BPH). It has not been FDA approved for hair loss.

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Hair Restoration Answers

Can Hair Loss in Women be Caused by Pregnancy, Prozac, or Hyperactive Thyroid?

Q: I had a baby 12 weeks ago and have recently been diagnosed with a hyperactive thyroid, although only slightly. I was also taking Prozac for 7-10 days. I am 27 and have been experiencing a significant amount of hair loss from all over my scalp. What are the chances that this would be permanent?

A: Based upon your history, you have three possible reasons for having a type of hair loss called telogen effluvium; thyroid disease, medication induced (Prozac) and pregnancy.

Telogen effluvium is diagnosed by a hair pull test and observing club hairs under the microscope. It is generally a reversible condition, regardless of the cause. Telogen effluvium most often occurs 2-3 months after the inducing event, so your pregnancy is the most likely cause. Prozac would less likely be the problem since you have only been on it for a short time. Besides causing Telogen effluvium, thyroid disease can also alter your hair characteristics, which can make your hair appear thinner.

Other causes of hair loss, such as genetic female pattern hair alopecia, must be ruled out. Please see the Hair Loss in Women page on the Bernstein Medical – Center for Hair Restoration website for more information.

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Bernstein Medical In The News

Dr. Bernstein, Follicular Unit Hair Transplantation Get ‘Shameless Plug’ in Gotham Magazine

Bernstein, who founded the Bernstein Medical – Center for Hair Restoration, has made great headway with what’s called “follicular unit transplantation.” Instead of using single plugs, he works with clusters of hair that continue to grow in natural patterns. The results appear more natural, and his patients need fewer sessions than with the traditional method of hair transplant surgery.

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Hair Restoration Answers

What is Follicular Unit Extraction and What Other Terms are Associated with the Procedure?

Q: I am considering having an FUE procedure and have heard the phrases topping, capping, and tethering as part of the procedure. What do all these terms mean? — C.C., Hell’s Kitchen, N.Y.

A: These are all terms that refer to the types of injury that can occur to grafts during a follicular unit extraction procedure.

In FUE, a sharp instrument (or sharp instrument followed by a blunt one) is used to separate follicular units from the surrounding donor tissue. Forceps are then used to remove the follicular units from the scalp.

Topping occurs in the first step when the doctor accidentally cuts off the top of the graft so that the remainder of the graft cannot be removed.

Capping occurs when the doctor grabs a graft with forceps and the top of the graft (the epidermis and upper dermis) pulls off, leaving the rest of the graft behind.

Tethering occurs when the bottom of the graft is still attached to the deeper tissues after the first step causing the follicular unit to pull apart during extraction.

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Hair Restoration Answers

Can Women Experience Hair Loss from Hormone Replacement Therapy with Testosterone?

Q: Dr. Bernstein, a lot of older women are taking testosterone to restore libido, but are they going to suffer hair loss as a consequence?

A: They can. In women there is a delicate balance between the androgens, i.e. testosterone and estrogens. Estrogen is protective to some degree against hair loss in women, which is why most women don’t experience such severe hair loss as do men.

When a woman takes testosterone supplements it upsets that balance and can cause hair loss. However, hair loss in post-menopausal women is usually due to age related changes. Typically, the hair decreases in size in a genetically determined progression that seems not to be directly related to changes in the levels of hormones.

For more information, please see the Causes of Hair Loss in Women page on the Bernstein Medical – Center for Hair Restoration website.

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Hair Restoration Answers

What Causes Common Hair Loss or Baldness?

Q: I know that I am going to be bald because my father is bald and I am losing my hair just like him. What actually causes this kind of hair loss? — J.P., Paradise Valley, Arizona

A: Although there are many different causes, the overwhelming number of people that have hair loss have what is referred to as “patterned hair loss” or “androgenetic alopecia.”

In men, it is due to a hormone called DHT, which is a by-product of testosterone produced by the action of the enzyme 5-alpha reductase. This enzyme is inhibited by the hair loss medication Propecia. See the causes of hair loss in men page on the Bernstein Medical – Center for Hair Restoration website for more information.

In women, the mechanism is a little bit more complex as another enzyme, aromatase, is involved in the metabolic pathway. See the causes of hair loss in women page on the Bernstein Medical – Center for Hair Restoration website for more information.

We know that the inheritance comes from both the mother’s and father’s side, although the actual genes causing hair loss in men and women have not yet been identified. Statistically, the inheritance from the maternal side appears to be a bit stronger, but the reason for this is unknown.

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Hair Restoration Answers

After FUE Hair Transplant, Why are there Pimples and Redness?

Q: I had a hair transplant of over 600 grafts using Follicular Unit Extraction (FUE) to my frontal hairline and the frontal part of my scalp. The procedure was done less than a year ago by another doctor. Since then I have had persistent pimples and redness in the area that the grafts were placed. Also, the surface of the skin in the area is irregular. — E.Z., Long Island, N.Y.

A: One of the causes of having pimples and redness following Follicular Unit Extraction may be buried hair fragments and there are significantly more hair fragments generated with the two-step FUE technique than with the three-step method.

In the three-step procedure, we use blunt dissection which minimizes transection (cutting of hair follicles) and thus reduces the incidence of hair fragments. See the Three-Step FUE page at the Bernstein Medical – Center for Hair Restoration website.

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Hair Restoration Answers

Can Hair Loss Camouflage Products Damage My Hair?

Q: I have a question about one of the products referenced under the Camouflage section of your website. As you suggested, I have begun to use DermMatch as an alternative to a hair transplant as I have diffuse thinning and been told that hair restoration is not an option right now. I have been very impressed with the results of DermMatch. However, I am concerned that the product might be damaging my existing hair or impeding future growth. Should I have any concerns about this product?

A: None of the well-known cosmetic camouflage products will damage hair or inhibit its growth.

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Bernstein Medical In The News

Interview on Hair Loss and Hair Transplantation

Part 1

Hair Loss in the Younger Person

Interviewer: I brought a fair number of questions related to aspects of androgenetic alopecia and hair transplantation, but I will also ask you some questions regarding two other types of hair loss, like alopecia areata and cicatricial alopecia. Most of our listeners are fairly educated about the different hair restoration options available to them, so I’ll tailor my questions primarily for this type of audience.

The first question that I want to direct here is the dilemma that many young people face when they’re losing their hair and are considering getting a hair transplant. They typically don’t know the degree to which their hair loss is going to progress. When you’re in your 20s and 30s, you want to have a decently low-running hairline and you want to have a crown that looks full. But given that you don’t know how far your hair loss is going to go, how would you address this scenario for people in that age range?

Dr. Bernstein: That is the main problem with treating younger people. We don’t really know how they’re going to progress. It is so important to wait, usually until the person is 23 to 25 before you can really get a sense of how much hair loss they are going to lose. And even at that age it’s sometimes very difficult to tell. That’s even after considering things such as family history.

A problem with treating a younger person with surgical hair restoration is that they often want things that are unrealistic. A person in their 20s is what we call “backward-looking.” They’re looking to when they were a teenager and they want their flat hairline back and all their old density. But hair transplants are forward-looking. We need to consider what they’re going to be like in ten or twenty years – not how they looked in the past.

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Hair Restoration Answers

Do You Use Anesthesia During a Hair Transplant?

Q: Will I be unconscious during the hair transplant procedure and do you use general anesthesia? – C.L., Boston, Massachusetts

A: All of the surgical hair restoration procedures at Bernstein Medical are performed under local anesthesia. The fact that general anesthesia is not needed is what makes hair transplant procedures – even though they are long – very safe.

Patients are given a sedative to help them relax, but they are not put to sleep. Most patients watch TV, see movies or just chat during the procedure.

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Bernstein Medical In The News

Bernstein Medical Launches FollicularUnitForum.Com, A New Website Where Hair Transplant Questions are Answered by Actual Patients

Follicular Unit Forum - Bernstein Medical - Center for Hair RestorationFollicular Unit Forum is unique in that it affords visitors an opportunity to anonymously ask questions about the “ins and outs” of hair transplant surgery, of those who actually have had the state-of-the-art Follicular Unit Hair Transplant procedures.

Questions are posted to people who have actually undergone hair restoration procedures. Individuals who are considering a surgical solution to their hereditary baldness are able to search through “threads” or conversations that will answer their most pressing concerns such as; what to expect before, during and after a hair transplant, and what kind of procedure one should have.

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Bernstein Medical In The News

Dr. Bernstein Presents at ISHRS 13th Annual Scientific Meeting in Sydney, Australia

Dr. Bernstein - Presenting on Hair Transplantation in Sydney, AustraliaSome of the world’s most renown hair transplant surgeons gathered this month to hear about the latest cutting edge methods in surgical hair restoration. Speakers included Robert M. Bernstein. M.D. founder of Bernstein Medical – Center for Hair Restoration , New York, NY

The International Society of Hair Restoration Surgery (ISHRS) recently held their 13th annual scientific meeting. A broad range of topics were explored including; the most recent research in cloning, the latest proven medical therapies to prevent hair loss, and the newest concepts in the harvesting of donor hair follicles used for transplanting. The event was capped off with a live hair transplant surgery workshop.

As the largest non-profit voluntary organization comprised of over 650 hair restoration physicians, the ISHRS is the first international society created to promote continuing quality improvement and education for professionals in the field of surgical hair restoration.

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Hair Restoration Answers

How Long After Hair Transplant Can Grafts Fall Out?

Q: How do you know if you have lost any grafts after a hair transplant and how long after the hair transplant can you still lose them? — T.R. Easton, Pennsylvania

A: Each day following the hair restoration, the transplanted grafts become more fixed in the scalp and the hairs in the grafts become more dissociated (loose). At nine days post-op, the grafts are fixed firmly in the scalp – it has essentially become part of the scalp in the new area and can’t be dislodged.

The hair, however, has totally separated from the follicle by this time, so that it can easily be pulled out without dislodging the remainder of the follicle that contains the growth center. When this hair is pulled out (or is naturally shed) one often sees a tiny bulb at the end. This is the root sheath of the hair and not the growth center. This is normal and is not a lost graft.

If a graft is lost, an event that may occur within the first 3-4 days following surgery, it is almost invariably associated with a small amount of bleeding.

For details on how to care for a hair transplant, visit the Instructions After Your Hair Restoration Surgery page on the Bernstein Medical – Center for Hair Restoration website.

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Bernstein Medical In The News

Dr. Bernstein and Hair Transplant Patient Featured on NBC’s ‘Today’ with Matt Lauer

“Over the past 10 years we’ve developed a new procedure called follicular unit transplantation, where hair is transplanted exactly the way it grows,” said Dr. Robert Bernstein […] This new technique replaces the plugs — groups of hairs inserted into round holes in the scalp — used in the early days of hair transplant procedures. It is now known that hair grows in groups of one to four hairs.

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Bernstein Medical In The News

Dr. Bernstein Talks Hair Transplant Repair On ‘Good Morning America’

“Good Morning America” interviewed Dr. Bernstein in their two-part series on hair transplant surgery. Below is an excerpt from the interview:

Charles Gibson: Are there good candidates and bad candidates for this?
Dr. Bernstein: Yes. And actually people that wear hairpieces are sometimes tricky because their baseline is a full head of hair, so one of the important things that we had to discuss in the first consult was what his expectations were and whether he realized that a transplant wouldn’t give him the fullness of a hairpiece, but of course, it would look much more natural.

Watch the full interview.

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